WHAT ARE THE MOST IMPORTANT FACTORS REGARDING ACCEPTANCE TO THE COLONOSCOPY?: Study of related tolerance parameters

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorUSSUI, Vivian Mayumi
dc.contributor.authorSILVA, Ana Luiza Werneck da
dc.contributor.authorBORGES, Luana Vilarinho
dc.contributor.authorSILVA, José Guilherme Nogueira da
dc.contributor.authorZEITUNE, José Murilo Robilotta
dc.contributor.authorHASHIMOTO, Cláudio Lyoiti
dc.date.accessioned2014-07-07T18:45:15Z
dc.date.available2014-07-07T18:45:15Z
dc.date.issued2013
dc.description.abstractContext Colonoscopy plays an indubitable role in the setting of clinical practice, however, it is an invasive exam; complex, lengthy, embarrassing, not devoid of risks and discomfort that yields fear and anxiety in the majority of patients. In a new era of rising competition between health institutions, where the quality of health care and client satisfaction are praised, studies regarding tolerance-related colonoscopy issues yield great potential to be explored. In the present study, tolerance is defined as willingness to repeat the exam. Objectives Evaluate information associated to bowel preparation, the exam itself and post-examination period that might interfere with the tolerance to the colonoscopy. Methods Analysis of the tolerance to the colonoscopy at three stages (pre, post, and during) through a checklist: patient's questionnaire and a medical assessment form were used. Results In this present study, 91.2% of 373 patients exhibited positive tolerance to the colonoscopy. Aspects related to a negative level of tolerance were patient gender (12.9% of women versus 3.2% of men would not repeat the exam), age extremes (less than 20 years and greater than 80 years of age), and abdominal pain, both during the bowel preparation and after the procedure. Conclusions Gender, age, patient cooperation and abdominal pain were the decisive components regarding tolerance to the colonoscopy. Notably, in two phases of the exam, the abdominal pain was the most important feature associated to a lessened tolerance.
dc.description.abstractContexto É inquestionável o papel da colonoscopia na prática clínica, entretanto, trata-se de exame invasivo, complexo, demorado, impudico, não isento de riscos e desconforto, que gera receio e ansiedade à maioria dos pacientes. Em uma nova época de elevada competição entre instituições de saúde, na qual se valoriza a qualidade dos serviços prestados e satisfação dos clientes, estudos sobre fatores relacionados a tolerância à colonoscopia oferecem grande potencial a ser explorado. No presente estudo considerou-se tolerância a disposição de repetir o exame. Objetivo Analisar informações relacionados ao preparo, exame e pós exame que interferem na tolerância à colonoscopia. Métodos Análise da tolerância à colonoscopia em três momentos da colonoscopia (pré, pós e durante) através de check list: “formulário do paciente” e “ficha de avaliação médica”. Resultados No presente estudo 91.2% de 373 pacientes apresentaram tolerância positiva à colonoscopia. Os fatores relacionados à tolerância negativa foram o sexo feminino (12.9% mulheres and 3.2% dos homens não repetiriam o exame), extremos de idade (<20 anos e >80 anos) e dor abdominal durante o preparo intestinal e após o procedimento. Conclusões Gênero, idade, cooperação do paciente e dor abdominal foram fatores determinantes da tolerância à colonoscopia. Significativa em duas fases do exame, a dor abdominal foi o fator mais importante relacionado à redução da tolerância.
dc.description.indexMEDLINE
dc.identifier.citationARQUIVOS DE GASTROENTEROLOGIA, v.50, n.1, p.23-30, 2013
dc.identifier.doi10.1590/S0004-28032013000100006
dc.identifier.issn0004-2803
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/6158
dc.language.isoeng
dc.publisherInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE
dc.relation.ispartofArquivos de Gastroenterologia
dc.rightsopenAccess
dc.rights.holderCopyright Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE
dc.subjectColonoscopy
dc.subjectPatient satisfaction
dc.subjectAbdominal pain
dc.subjectColonoscopia
dc.subjectSatisfação do paciente
dc.subjectDor abdominal
dc.subject.wosGastroenterology & Hepatology
dc.titleWHAT ARE THE MOST IMPORTANT FACTORS REGARDING ACCEPTANCE TO THE COLONOSCOPY?: Study of related tolerance parameters
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalUSSUI, Vivian Mayumi:Universidade de São Paulo, São Paulo, BRAZIL
hcfmusp.author.externalZEITUNE, José Murilo Robilotta:Universidade de São Paulo, São Paulo, BRAZIL
hcfmusp.citation.scopus11
hcfmusp.contributor.author-fmusphcANA LUIZA WERNECK DA SILVA
hcfmusp.contributor.author-fmusphcLUANA VILARINHO BORGES
hcfmusp.contributor.author-fmusphcJOSE GUILHERME NOGUEIRA DA SILVA
hcfmusp.contributor.author-fmusphcCLAUDIO LYOITI HASHIMOTO
hcfmusp.description.beginpage23
hcfmusp.description.endpage30
hcfmusp.description.issue1
hcfmusp.description.volume50
hcfmusp.origemSciELO
hcfmusp.origem.pubmed23657303
hcfmusp.origem.scieloSCIELO:S0004-28032013000100023
hcfmusp.origem.scopus2-s2.0-84876831719
hcfmusp.publisher.citySÃO PAULO
hcfmusp.publisher.countryBRAZIL
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